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General NPI Number Information
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NPI Number | 1457456428
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Entity Type | Organization
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Legal Business Name | LLANO DIAGNOSTIC SERVICES, L.L.C.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6014 45TH ST SUITE A
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City | LUBBOCK
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State | TX
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Zip | 79407-3773
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Country | US
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Telephone | 806-252-1928
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Fax | 806-788-1993
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Provider Business Mailing Address
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Address Line | 6014 45TH ST SUITE A
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City | LUBBOCK
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State | TX
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Zip | 79407-3773
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNSEL
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Name | MR. SEAN L PITMAN
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Credential | JD
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Telephone | 806-252-1928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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